CASE MANAGER-SBHI

Case Manager functions as a member of a team to assist in the planning, development, and delivery of outcome-effective treatment services in various types of settings.  This position maintains an ongoing working knowledge of agencies and community/emergency resources for child, adolescent, adult, and geriatric clients and uses that knowledge to coordinate services and advocate for identified clients.  Case Manager acts as a resource consultant to other team members and collects resource materials regarding other agencies and services in the community. Services may be delivered by phone, face-to-face at the office, in patient’s home, at outside agencies, and/or within the community.

Job duties:

·         Demonstrate adherence to the PHP/SBHI Patient Experience philosophy, guidelines and tools.

·         Demonstrate strong ethics, honesty, and adherence to PHP/SBHI Code of Conduct and PHP/SBHI Compliance Program.

·         Collaborate with referral source, internal team members and external service providers to ensure appropriate client care and continuity of care.

·         Complete all direct service paperwork within agency timelines or earlier if referral source or other healthcare provider necessitates.

·         Provide other direct, face to face, services to clients via individual, group, and family therapies according to departmental standards and productivity expectations.

·         Provide CPST services to coordinate clinical care in the form of face to face, telephone calls, report writing and case conference meetings.

·         Demonstrate knowledge and skills relevant to the service method provided to clients.

·         Maintain scheduled appointments and other workload activities on CareLogic schedule according to departmental standards.

·         Seek medical provider consultations regarding medical needs of clients. Maintain on-going communication with medical provider for the purpose of coordinating and evaluating client care.

·         Demonstrate strong customer satisfaction skills in the provision of clinical care services.

·         Demonstrate knowledge of SBHI medical records and CareLogic and other paperwork standards. Apply competencies in both the provision and documentation of medical records.

·         Demonstrate compliance with departmental standards for administration and reporting of outcome measures and documentation of utilization management of clinical care.

·         Demonstrate knowledge of other regulatory standards. Ensure that clinical records are maintained in compliance with these standards at all times.

·         Demonstrate knowledge of IT and Quality Improvement policies and procedures. Apply them to the documentation of clinical care according to medical records and other departmental standards.

·         Assess current competencies. Design and implement professional development plan to improve competencies in targeted goal areas to support departmental strategies. 

·         Provide documentation of continuing education required for maintaining current professional licensure and competency credentials.

·         Participate in assigned programs and staff meetings.

·         Meet regularly with clinical director and as needed to review clinical care of patients according to licensing and agency standards.

·         Ensure all annual updates are completed in CareLogic for caseload.

·         Complete face-to-face CPST assessments within (5) business days after receiving referral.

·         Maintain caseload list reflective of current and active clients.  Review closure / discharge if no services within 90 days.

 

·         Two year degree in a relevant social science field or equivalent education and experience

·         Minimum of two (2) years’ experience in the mental health and/or drug and alcohol field.

·         Working knowledge of mental health, drug and alcohol, and other community agencies and resources essential.

·         Working knowledge of The Diagnostic and Statistical Manual of Mental Disorders (DSM- 5 or subsequent revisions), as related to coordination of community support services.